Adequate patient counselling on the benefits and risks of ECV and VBD is important to aid in informed individualized decision-making regarding breech delivery
. Regarding the KSA where CD rates for breech presentation are high, it is recommended to conduct further randomized, multi-center studies aimed at studying the effect of institutionalizing ECV and VBD practice on CD rates which would also provide updated national figures for rates of CD, ECV and VBD.
Term breech delivery
in Sweden: mortality relative to fetal presentation and planned mode of delivery.
Although not randomized, another more recent study at Georgetown University showed that high-fidelity simulation training improved resident performance of vaginal breech delivery
. Residents were more likely after simulation training to perform critical maneuvers correctly and to deliver in a safe manner than they were before the training (Obstet.
However, with potential risks to mothers in future pregnancies being identified, it seems reasonable to offer women the option of a planned vaginal breech delivery
at term provided strict selection criteria are met."
"Although some of the deaths in the planned vaginal birth group were related to difficulty with vaginal breech delivery
, others were clearly associated with problems during labor.
Participating subjects were randomly assigned (masked allocation) to either PCD (n=1043) or to PVD by an accoucheur experienced in breech delivery
Has She Discussed a Vaginal Breech Delivery
with Her Doctor or Midwife?
So in her third labour, despite it being a breech delivery
, the Edinburgh mum was determined to give birth to her baby boy Rogan naturally.
Tracie was warned she faced a breech delivery
- and was then told her baby had turned when she hadn't.
Those boys who suffered birth complications (induction of labor, irregular position, the use of forceps, breech delivery
, and umbilical cord prolapse) and rejection in home were significantly more likely to become violent criminals.
These include maternal pelvic size, size of the fetus, the type of breech position and the experience of the physician with vaginal breech delivery
Among them 29.22% had assisted breech delivery
, 11.96% had spontaneous breech delivery